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Organization
HILLTOP LODGE, INC.
Active
Organization
HILLTOP LODGE, INC.
Active
Other names
Hilltop Lodge Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY JAY HEIDRICK (VICE PRESIDENT)
(785) 738-3516
Entity
Organization
Contact information
Practice address
815 N. INDEPENDENCE AVE, BELOIT, KS 67420-0467
(785) 738-3516
(785) 738-2332
Mailing address
P.O. BOX 467, BELOIT, KS 67420-0467
(785) 738-3516
(785) 738-2332
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N062001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108300A
—
KS
Enumeration date
12/20/2005
Last updated
11/07/2011
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